| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.04 | $63.39 | $117.57 |
Hally Health
| Professional | 26 | $39.29 | $57.65 | $205.09 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Venous Thrombosis Imaging Venogram Unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.04 | $63.39 | $117.57 |
Hally Health
| Professional | 26 | $39.29 | $57.65 | $205.09 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |